TY - JOUR PY - 2018// TI - Have outcomes improved in trauma patients age 90 years and older over the past decade: experience at a level II trauma center JO - American journal of surgery A1 - Samayoa, Andres X. A1 - Vu, Thai A1 - Olszewski, Tanya A1 - Bova, Michael A1 - Yan, Qi A1 - Kirton, Orlando SP - 1000 EP - 1003 VL - 215 IS - 6 N2 - INTRODUCTION: Managing trauma in the elderly is challenging and requires a multidisciplinary team approach. The aim of this study is to characterize and compare outcomes in patients 90 years and older in the last two decades.

METHODS: Retrospective review of trauma patients 90 years and older admitted from 1996 to 2015. The patients were divided into two groups: Early Decade (ED) and Late Decade (LD).

RESULTS: A total of 1697 patients were recorded, 551 (ED) and 1146 (LD). The mean age was 92.92 ± 8(90-108)[ED] and 92.9 ± 2.7(90-105)[LD] years. The most common mechanism and type of injury was falls and extremity trauma. Hospital length of stay (LOS) was shorter in the LD. There was no significant difference in in-hospital mortality or ICU LOS.

CONCLUSION: Trauma admission has increased in the last decade. However, in-hospital mortality remains low. It is important for multidisciplinary teams to allocate resources to treat this elderly population.

Copyright © 2018 Elsevier Inc. All rights reserved.

Language: en

LA - en SN - 0002-9610 UR - http://dx.doi.org/10.1016/j.amjsurg.2018.02.025 ID - ref1 ER -